Individual
SASHA ELIZABETH STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. PHD
Contact information
Practice address
4805 NE GLISAN ST STE 11N, PORTLAND, OR 97213-2933
(503) 215-1350
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD196441
OR
207RH0003X
Hematology & Oncology Physician
Primary
MD196441
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730348632
—
WA
Enumeration date
06/05/2008
Last updated
02/16/2021
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